用电脑中频治疗仪治疗腰椎间盘突出症34例临床观察

腰椎间盘突出症是临床常见的骨外科疾病,也是腰腿疼的常见原因,多由遭受风寒,受力不当损伤,椎间盘退变等原因所致。临床以不同程度的腰腿疼痛不适麻木为主要表现,少数表现二便功能障碍、鞍区感觉异常。临床分型:过去分单侧型(椎间盘向一侧外或后外侧突出,后者多见)和中央型(整个椎间盘向后突出,此较型少);目前最新分法分4型,1膨隆型、2突出型、3 脱垂游离型、4Schmorl结节及经骨突出型。笔者从2003年9月到2006 年5月治疗腰椎间盘突出症34例, 疗效满意,现小结如下:     

奇经疗法治疗颈椎病100例疗效观察

神经根型颈椎病是由颈椎间盘突出、颈椎骨质增生、钩椎关节和后关节退变等因素刺激、压迫脊神经根引起感觉、运动功能障碍的一种常见病，临床症状多见颈肩痛、手臂麻木、无力、肌肉萎缩，我们采取奇经疗法治疗神经根型颈椎病，取得较理想效果。     

牵引结合电疗药物透入治疗颈椎病疗效观察

颈椎病是疼痛临床中的一种常见病、多发病。多因高枕、长期低头工作导致颈椎退变 ,颈椎生理屈度改变、颈肌劳损而发病 ,亦有因外伤或其他原因引起颈椎间盘病变。其临床治疗以颈椎牵引、按摩、针灸、理疗等方法为主。本文采用颈椎牵引配合药物导入治疗仪及其药垫治疗颈椎病 2 86     

浅谈颈椎病病人的护理

颈椎病是指因颈椎间盘退行性变、颈椎肥厚增生以及颈部损伤等引起的疾病,是中、老年人的常见病、多发病之一,多见于40岁以上病人。随着人们工作性质和工作条件的改变,颈椎病的发病年龄已经提前到40岁以前,已成为骨科的常见病,需要手术治疗的病人也越来越多,颈椎病病人的护理已成为骨科病房的重要工作之一。     

人体早晚为什么不一样高?

<正>身高的这种变化,与生长发育使身体长高是不同的,它主要是由脊柱长度变化引起的。脊柱位于背部的正中,由24块椎骨、1块骶骨和1块尾骨组成。在每两块椎骨之间,有一块圆盘形纤维软骨,称为椎间盘。盘的中央是柔软而富有弹性的髓核;盘的周围是由无数层纤维软骨构成的一层层纤维环。髓核和纤维环共同作用,使椎间盘既坚硬又富有弹性,在承受压力时被压缩,除去压力后便会复原。     

膝骨关节炎治疗的研究进展

膝骨关节炎好发于中老年人,是导致中老年人膝关节疼痛、功能障碍的主要原因,严重影响了患者的生活质量。该病是一种退行性疾病,临床上治疗方式多样,疗效不一,在疾病的早中期如何改善症状、延缓退变,则成为该病治疗的重点。文章综述了西医和中医对膝关节炎的研究进展,详细阐述了各种中西医治疗法在临床中的应用,为该病的治疗和研究提供参考借鉴。     

怎样对付老年性腰腿痛

老年性慢性腰腿痛主要表现是“劳损”,是因局部小的损伤长期积累所致。老年人的骨、关节和肌肉会出现退行性变化,加之活动量的减少,肌肉萎缩,骨质增生,纤维软骨盘(椎间盘)也变薄,这很容易使局部造     

组合药液治疗骨性关节炎疗效分析

观察分析组合药液(复方丹参、三磷酸腺苷、骨肽、50％葡萄糖注射液)行膝关节腔注射，结合关节周围痛点和神经阻滞的方法治疗膝关节骨性关节炎的临床效果。目的是为了改善关节内已被破坏的不良生化环境，使其受损和退变的关节内软骨等组织得到修复，最大可能改善关节软骨基质纤维拱形结构和薄壳结构的异常变化，最终使疼痛得到有效缓解。本方法经过285例的临床实践收到了满意的效果，而且是一种经济实用的治疗方法。     

手麻需防哪些病

颈椎病当人步入中年以后,随着年龄的增加,颈椎间盘发生退行性变后,往往会导致颈椎间盘突出或颈椎关节增生和肥大,这些突出的颈椎间盘或增生的关节一旦压迫邻近的颈神经根时,便成了颈椎病。颈椎病除了有手指麻木、感觉异常外,还伴有颈肩部肌肉酸痛、上肢有放射痛或活动障碍等症状。     

腰椎滑脱的影像学检查方法的诊断价值

目的:探讨腰椎滑脱的X线平片、CT扫描的诊断价值材料与方法:56例腰椎滑脱病人均行X线正侧位及左右斜位摄片、CT定位扫描。对比分析X线平片、CT扫描征象。结果:X线平片在显示腰椎滑脱、狭部裂、小关节增生方面与CT扫描相仿,在显示椎体和椎间盘形态及密度改变、狭部裂隙处骨质改变或纤维组织增生、椎间孔变形和侧隐窝狭窄以及椎管形态方面不及CT扫描。结论:X线平片可明确椎体滑脱、CT扫描对临床诊断治疗有重要指导意义,尤其为手术及术式的选择提供重要依据。     

Alkaptonuric ochronosis: Report of a case and brief review

Alkaptonuria, a metabolic disorder characterized by a triad of homogentisic aciduria, arthritis and ochronosis is one of the first conditions in the charter of group of inborn errors of metabolism proposed to have Mendelian recessive inheritance. It is due to the deficiency of the enzyme homogentisic acid oxidase which catalyzes the conversion of homogentisic acid to maleylacetoacetic acid in the catabolism of tyrosine. Homogentisic acid thus accumulates in cells and body fluids and its oxidized polymers bind to collagen, leading to progressive deposition of grey to bluish black pigment resulting in degenerative changes in cartilage, intervertebral disc and other connective tissues, leading to arthritis which is the only disabling effect in an affected older individual. However the diagnosis can be made in neonates when blackish stain is noticed in an unwashed diaper. Alkaptonuria is treated symptomatically, surgical intervention necessitates in advanced stages, treatment with ascorbic acid (Vitamin C) and dietary restrictions of food containing phenylalanine and tyrosine have proved to be successful in alleviating the symptoms.     

高节段皮肤感觉改变的腰椎间盘突出症20例临床报道

目的:报道临床所见皮肤感觉改变高于节段平面的腰椎间盘突出症的治疗效果。方法:20例诊断为腰椎间盘突出症而查体发现有皮肤感觉改变明显高于病变节段,予以手术治疗。结果:通过手术治疗,所有病例术后症状完全缓解,随访观察6个月～3年,平均1.2年,未见有高节段的皮肤感觉改变再次出现。结论:对于排除有其他疾病的高于病变节段的皮肤感觉迟钝,可以果断对较低节段的椎间盘突出行手术治疗,近期疗效满意。     

The role of CRP and inflammation in the pathogenesis of age-related macular degeneration

Age-related macular degeneration (AMD) is a complex, degenerative and progressive disease involving the multiple genetic and environmental factors that can result in severe visual loss. The etiology of AMD is not well understood. Many theories exist and feature mechanisms of oxidative stress, atherosclerotic-like changes, genetic predisposition and inflammation. The most recent clinical studies appointed to a great role of inflammation and C-reactive protein (CRP) in the pathogenesis of AMD. There is a large body of evidence indicating the association of CRP with endothelial dysfunction, oxidative stress and production of reactive oxygen species (ROS), as well as with lipid status disorder in AMD patients. According to recent studies, CRP is definitely not only the inflammatory marker but also a mediator of development of the vascular disorders in the retinal circulation. The results obtained from the present studies may help our understanding the pathogenesis of the retinal vascular disease associated with high levels of CRP.     

腰椎失稳症手术治疗的研究现状

腰椎失稳症是脊柱外科的常见病和多发病,它主要包括峡部裂性腰椎滑脱症（isthmic spondylolisthesis,ISS）和退变性腰椎滑脱症（degenerative spondylolisthesis,DSS）两种类型,后者又被称为非峡部裂性腰椎滑脱症。此类患者通过手术治疗,能够恢复椎间高度和腰椎生理前凸、重建脊柱的力学稳定,从而达到临床治愈或缓解,是获得临床远期疗效的关键。王岩[1]认为脊柱融合术具有防止内植物失败和维持长期疗效等优点,是目前公认的治疗脊柱疾患的金标准。文章旨在总结腰椎失稳症手术治疗有关文献,探讨各种术式的利弊,为临床提供有益参考。     

Role of Lipids in Retinal Vascular and Macular Disorders

Retinal diseases are significant by increasing problem in every part of the world. While excellent treatment has emerged for various retinal diseases, treatment for early disease is lacking due to an incomplete understanding of all molecular events. With aging, there is a striking accumulation of neutral lipids in Bruch’s membrane. These neutral lipids leads to the creation of a lipid wall at the same locations where drusen and basal linear deposit, pathognomonic lesions of Age-related macular degeneration, subsequently form. High lipid levels are also known to cause endothelial dysfunction, an important factor in the pathogenesis of Diabetic Retinopathy. Various studies suggest that 20 % of Retinal Vascular Occlusion is connected to hyperlipidemia. Biochemical studies have implicated mutation in gene encoding ABCA4, a lipid transporter in pathogenesis of Stargardt disease. This article reviews how systemic and local production of lipids might contribute to the pathogenesis of above retinal disorders.     

Oxidative stress in Parkinson’s disease

Oxidative stress contributes to the cascade, leading to dopamine cell degeneration in Parkinson’s disease. However, oxidative stress is intimately linked to other components of the degenerative process, such as mitochondrial dysfunction, excitotoxicity, nitric oxide toxicity and inflammation. It is therefore difficult to determine whether oxidative stress leads to or is a consequence of, these events. Oxidative stress was assessed by estimating lipid peroxidation product in the form of thiobarbituric acid reactive substances, nitric oxide in the form of nitrite & nitrate. Enzymatic antioxidants in the form of superoxide dismutase, glutathione peroxidase, catalase, ceruloplasmin and non enzymatic antioxidant vitamins e.g. vitamin E and C in either serum or plasma or erythrocyte in 40 patients of Parkinson’s disease in the age group 40–80 years. Trace elements e.g. copper, zinc and selenium were also estimated. Plasma thiobarbituric acid reactive substances and nitric oxide levels were Significantly high but superoxide dismutase, glutathione peroxidase, catalase, ceruloplasmin, vitamin-E, vitamin-C, copper, zinc and selenium levels were significantly low in Parkinson’s disease when compared with control subjects. Present study showed that elevated oxidative stress may be playing a role in dopaminergic neuronal loss in substentia nigra pars compacta and involved in pathogenesis of the Parkinson’s disease.     

中医治疗腰椎间盘突出症临床研究概述

腰椎间盘突出症为骨科常见病,非手术治疗方法很多,治疗效果各异。文章综述了对各种针对腰椎间盘突出症的中医传统治疗方法及疗效。     

退行性心瓣膜病102例分析和诊断标准探讨

对１６４８例住院病人检查结果分析表明，１０２倒退行性心瓣膜病的发生率呈现随年龄增长而增多的趋势，７０岁以上患者的发生率为２４．７９％，１０２例患者中，同时并存有其他心血管疾病者为７３例，占７１．５６％。并对退行性心瓣膜病的诊断标准加以探讨。     

拉萨河流域健康湿地与退化湿地大型土壤动物群落比较研究

青藏高原是我国重要的高寒湿地分布区,高寒湿地也是我国特有的湿地类型。随着社会经济发展,人口不断的增长及农牧活动的增加,湿地面积、植被和土壤水分条件都发生了明显的变化。大型土壤动物是构成湿地生态系统中不可缺少的重要组成部分,与植物群落间有密切的联系。本文以拉萨河流域健康湿地和退化湿地为研究对象,探讨大型土壤动物群落特征,为高原湿地的监测及保护提供土壤动物学依据。研究结果表明,退化湿地大型土壤动物类群数和个体数均高于健康湿地,退化湿地稀有类群极为丰富,由于退化湿地生境较为干燥,出现了蚁科、隐翅虫科、步甲科等动物类群。显著性检验结果显示,健康湿地和退化湿地大型土壤动物存在明显的差异性,产生这种差异的主要原因是受生境中植被和土壤中含水率的影响。